Decrease of nasal airway resistance and alleviations of symptoms after balloon sinuplasty in patients with isolated chronic rhinosinusitis: a prospective, randomised clinical study
| Autor: | Jura Numminen, Rami Taulu, Markus Rautiainen, A J Bizaki |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Maxillary sinus Physical examination Catheterization 03 medical and health sciences 0302 clinical medicine Acoustic rhinometry Airway resistance Recurrence medicine Humans Prospective Studies Sinusitis 030223 otorhinolaryngology Prospective cohort study Finland Rhinitis medicine.diagnostic_test business.industry Airway Resistance Balloon sinuplasty Maxillary Sinus Dilatation Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Chronic Disease Female Rhinomanometry business |
| Zdroj: | Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-LaryngologyCervico-Facial Surgery. 41(6) |
| ISSN: | 1749-4486 |
| Popis: | Objectives The aim of this study was to evaluate and compare the clinical outcome of balloon sinuplasty and uncinectomy for patients suffering from isolated chronic rhinosinusitis of the maxillary sinus. Design A prospective, randomised, non-blinded, controlled trial was conducted. Setting The study was carried out at the Department of Otolaryngology, Tampere University Hospital, Finland. Participants Adult patients with symptomatic isolated chronic or recurrent rhinosinusitis without severe findings in the sinuses, as documented in the sinus' Computer Tomography scan and clinical examination, were randomised into two groups: uncinectomy and balloon sinuplasty. Main outcome measures The variables in our study are the Sinonasal Outcome Test-22 (SNOT 22), acoustic rhinometry and rhinomanometry. These parameters were analysed preoperatively and postoperatively (after 3 and 6 months). Results The preliminary results of our study have been previously published. Both balloon sinuplasty and uncinectomy significantly improved almost all the parameters of SNOT22 (P 0.05). Based on rhinomanometry results, airway resistance decreased after treatment. Regarding adverse effects, balloon sinuplasty was significantly associated with a lesser risk of synechia. Conclusions Both balloon sinuplasty and uncinectomy improved the quality of life and decreased upper airway resistance of patients with mild, isolated chronic or recurrent rhinosinusitis. The smaller risk of postoperative synechiae with balloon sinuplasty combined with its promising efficiency could partially compensate for its high material cost. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text